HomeMy WebLinkAbout00221 GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
Il e 2014 Blake Avenue
Glenwood Springs, Colorado 81601
PERMIT # S n. (this does not constitute
REPAIR a building or use permit)
Owner Venstt Mever
System Location bottom of CMC Road
Licensed Contractor Lael Hughes
* Conditional Construction approval is hereby granted fo /;e04) gallon
Septic Tank orb_ Aerated treatment it.
Absorption area or dispersal area computed as follows:
( Pe ) P
Pere rate / inches in s 'A t S q minutes s . ft.
absorption area per bedroom 2 ''1: r
"- -`7=
II
b of bedrooms 3 x 42. sq. ft. minimum requirement -: 37-S s «' r i� ltsittio
It
ti Mayewe suggest i . ,.50 //44? T 4apeit Jt . e.. A' 1,7)6 ref ' �%' 67 eve ,' i, {,F e r°
a Inspector
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance With the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
/
-" k cleanout to within i
SeptteTan an h n 12 of final grade or aerated access ports above grade.
40atG Proper materials and assembly.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
__s� , � , K , de uate com lianc with County and State regulations/requirements.
q � � ty an
Date 7° � Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS: `
- 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 66.444, CRS 1968, amended 68.3 -14, CRS 1988.
2. This permit is valid only for connection to structures which have fully complied with County Zoning and
building requirements. Connection to or use With any dwelling or structures not approved by the building
and Zoning office shall automatically be a violation of a requirement of the permit and cause for both
legal action and revocation of the permit.
8. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal ,1
system in a manner which involves a knowing and material variation from the terms or specifications con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine • 6 months in jail or
both.
Bldg. Official Appvl. %
INDIVIDUAL DISPOSAL SYSTEMS APPLICATION l (Building Zoning SB - 33
NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE* Fees Paid $ 5
INDIV HOME SEWAGE TREATMENT SYSTEM **
Owner: J�
t
Mail Address: , City: Zip: Phone:
-- i
INFORMATION REGARDI G PROJECT SUBMITTED FOR REVIEW
Attach separate sheets or report showing entire area with respect to surrounding areas,
topography of area, habitable buildings, location of potable water wells, soil percola-
tion test holes, soil profiles in test holes / li
I zad-wk
1. Location of facility: Count �,. „ ,,c4 , City or Town
Legal Description / / 1 Lot Size i t) 2 Qc
2. No. of Bedrooms (3 Septic Tank Capacity Aeration Unit Capacity
3. Source of Domestic Water: Public (name):
Private: Well )( Depth Other Depth to first ground water table
4. Is facility within boundaries of a city /town or sanitation district? /C U
r
5. Distance to nearest sewer system: , (/[4 (
Have you attempted to arrange a connection with the system? C>
If rejected, what was the reason? S p ( S 7
6. Rate of absorption in test holes shown on the location map, in minutes per inch of
drop in water level after holes have been soaked for 24 hours: iC?- �j?/I/L/ /T
7. Name, address, and telephone of person who made soil absorption tests:
8. Name, address, and telephone of person responsible for design of the system:
C , -7- - (
9. Express permission is hereby granted for the inspection of the above property by any
member of the Garfield County Environmental Health Department and /or such personss as
they may designate. Any withdrawal of this permission shall be in writing and t'!ceipt
acknowledged by the County Environmental Health Department.
10. I have been given an opportunity to read the Individual Disposal Systems Regulations of
Garfield County and I hereby agree to comply with all terms, conditions and requirements
included therein.
• Of it 411,,,
/7C
Date 7 i „p• r
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